Getting Diagnosed
Meet Colin, age 11. Amenable to exon 45 skipping

Steps to a DMD diagnosis.

On average, obtaining a confirmed Duchenne diagnosis takes about 2.5 years from the time symptoms are first noticed. Diagnosis is the vital first step in managing Duchenne, so it’s important to obtain a diagnosis as early as possible—before additional muscle damage occurs.

Common steps to a Duchenne diagnosis.
 

Insights into the Duchenne diagnostic process – Noticing symptoms – Initial diagnosis – Confirmed diagnosis


Parents, caregivers, or teachers


If you or others are seeing telltale signs of Duchenne, such as large calves or Gowers' maneuver, trust your gut and check in with your child’s doctor. See the symptoms of Duchenne.


Family doctor or pediatrician


Ask the doctor for a creatine kinase, or CK, blood test. This is a simple, highly accurate test for indicating muscle damage that can result from Duchenne. A CK test can’t confirm Duchenne or identify the mutation—only a genetic test can. Learn more about genetic testing.


Pediatric neurologist or neuromuscular specialist

Genetic testing will determine if a mutation is present on the dystrophin gene that would indicate Duchenne. It can also identify the type of mutation—which is important for determining potential clinical trial participation or therapy options. Explore sample test results.

 

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These are the common steps to a diagnosis, but your path may be different. The important things are arming yourself with information on tests that can diagnose Duchenne and talking to your doctor as soon as your child displays the signs. 

     

We’ve developed a Doctor Discussion Guide to help you start that important conversation. Get our discussion guide.

Why a timely diagnosis matters.

With Duchenne, symptoms such as muscle weakness and loss of mobility are progressive, and unfortunately, muscle damage is irreversible. The earlier you know the diagnosis, the sooner you can start the conversation about disease management with your child's doctor. You’ll know your options after genetic testing that can confirm Duchenne and identify the specific mutation in the dystrophin gene. Learn more about treatment with AMONDYS 45.

2.5_years
5_years
Meet Nicholas, age 12. amenable to exon 45 skipping
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Related FAQs

Where do I get a genetic test?

If your child has been diagnosed with Duchenne, you can request a genetic test through your child’s doctor. Once you have the results, your doctor or a genetic counselor can interpret them for you. Find out more about genetic testing for Duchenne.

We have a genetic test. How do I know if my child can be treated with AMONDYS 45?

A doctor will need to interpret the test results to consider appropriate treatment options. Learn more about deletions.

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What is AMONDYS 45 (casimersen)?

AMONDYS 45 is used to treat patients with Duchenne muscular dystrophy (DMD) who have a confirmed mutation of the dystrophin gene that can be treated by skipping exon 45.

This indication is approved under accelerated approval based on an increase in dystrophin production in skeletal muscle observed in patients treated with AMONDYS 45. Continued approval for this indication may be contingent upon verification of a clinical benefit in confirmatory trials.

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IMPORTANT SAFETY INFORMATION

Contraindications: Do not receive AMONDYS 45 if you are allergic to casimersen or any of the ingredients in AMONDYS 45. Serious allergic reactions to casimersen have included anaphylaxis, which may include difficulty breathing, tightness in the chest, and angioedema which may include swelling of the mouth, face, lips, or tongue.

Hypersensitivity Reactions: Serious allergic reactions, including angioedema and anaphylaxis, have occurred in patients who were treated with AMONDYS 45. Patients should seek immediate medical care should they experience signs and symptoms of allergic reactions. Your doctor will institute appropriate medical treatment which may include slowing, interrupting, or discontinuing the AMONDYS 45 infusion. Your doctor will monitor you until the condition resolves.

Kidney Toxicity and Monitoring: Damage to the kidneys was seen in animals who received casimersen. Although damage to the kidneys was not seen in clinical studies with AMONDYS 45, potentially fatal kidney damage has occurred with other drugs that work in a similar way. Your doctor may recommend urine and blood testing before starting treatment followed by urine testing every month and a blood test every 3 months to monitor your kidneys.

Adverse Reactions: Side effects occurring in at least 20% of patients treated with AMONDYS 45 and at least 5% more frequently than in patients who received an inactive intravenous (IV) infusion were (AMONDYS 45, placebo): upper respiratory tract infection (65%, 55%), cough (33%, 26%), fever (33%, 23%), headache (32%, 19%), joint pain (21%, 10%), and pain in mouth and throat (21%, 7%).

Other side effects that occurred in at least 10% of patients treated with AMONDYS 45 and at least 5% more frequently than patients who received an inactive IV infusion were: ear pain, nausea, ear infection, pain after injury, and dizziness and light-headedness.

What do I do if I have side effects?

Ask your healthcare provider for advice about any side effects that concern you.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You may also report side effects to Sarepta Therapeutics at 1-888-SAREPTA (1-888-727-3782).

The information provided here does not include all that is known about AMONDYS 45. To learn more, talk with your healthcare provider.

Before receiving this infusion, please see the full Prescribing Information for AMONDYS 45 (casimersen).